Strengthening collaboration between Public Health and Primary Health Care to meet Baby-Friendly Initiative Teresa Cozzella June 2014

Conflict of Interest

Disclosure of Commercial Support Presenter Disclosure

Presenter: Teresa Cozzella, Public Health Nurse, IBCLC

Relationships with commercial interests: • Grants/Research Support: None • Speakers Bureau/Honoraria: None • Consulting Fees: None • Other: None

Introduction

Breastfeeding exclusively to 6 months and continuing for 2 years or longer is the optimal way to feed infants and children

Baby Friendly Initiative

Step 3: Inform pregnant women and their families

about the benefits and management of breastfeeding

Infant Feeding Survey 2010

To assess parenting choices and behaviours related to infant feeding among parents in York Region in the child’s first year of life

York Region Infant Feeding Survey Sub-analysis (2012)

Significant finding: The intention to supplement is

associated with decreased duration of breastfeeding

Prenatal Breastfeeding Education

Decrease the intention to supplement?

Research

Women, especially those who are not sure about breastfeeding, want breastfeeding

information during pregnancy (Aurora et al., 2000)

Research

Women are more likely to decide to breastfeed and maintain their decision when

health care providers’ words and actions demonstrate that they value breastfeeding

and breastmilk

The Baby-Friendly Initiative: Evidence-Informed Key Messages and Resources (2013)

Prenatal Breastfeeding

Class Pilot

• Increase breastfeeding knowledge and confidence

• Increase awareness of community supports • Increase breastfeeding duration and

exclusivity rates

Prenatal Breastfeeding Class Pilot Evaluation

• 85% were in the standard prenatal classes offered by York Region

• 97% of all participants were first time mothers

Prenatal Breastfeeding Class Pilot

Evaluation Results

Prenatal Breastfeeding Class Pilot

Evaluation Results

Prenatal Breastfeeding Class Pilot

Evaluation Results

Prenatal Breastfeeding Class Pilot

Evaluation Results

50%

32%

18%

Intended duration of breastfeeding BEFORE attending

Prenatal Breastfeeding Class

Less than 2 weeks

2 - 6 weeks

6 weeks - 3 months

3 - 6 months

6 - 12 months

12 months or more

no plan

36%

50%

14%

Intended duration of breastfeeding AFTER attending

Prenatal Breastfeeding Class

Evaluation Summary

• Overall effective • Increased the level of

breastfeeding confidence

• Increase in their intention to breastfeed exclusively and for a longer duration

Questions ?

Thank you !

Teresa Cozzella teresa.cozzella@york.ca

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